MFCU Investigator 1

Alaskajobs; Anchorage (AK); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Public service

Downtown Anchorage office

Job summary

The State of Alaska's Medicaid Fraud Control Unit (MFCU) is seeking an Investigator 1 in Anchorage to perform initial investigations into Medicaid fraud, abuse, and provider misappropriation. You will document allegations, interview complainants, gather background information, and organize case files for disposition.

Join a dedicated team of investigators and attorneys, located downtown Anchorage, offering a collaborative environment and the opportunity to protect vulnerable Alaskans and ensure

Qualifications

• Analytical thinking and problem solving to address complex investigations.
• Attention to detail to ensure accurate case documentation and evidence handling.
• Integrity and honesty in handling sensitive information and prosecutorial work.
• Strong oral and written communication for interviews, reports, and briefs.

Responsibilities

• Conduct initial investigations of providers suspected of Medicaid fraud, abuse, or misappropriation.
• Document intake, interview complainants, gather background information, and organize case files for disposition.

Skills

Analytical thinking

Attention to detail

Integrity/Honesty

Oral and written communication

Criminal law awareness

Job description

Job Description

Come join the State of Alaska!

This job class uses Competency Based minimum qualifications (MQs). Please read the Competency Based MQ instructions below to learn more.

The Department of Law, Division of Criminal is recruiting for an Investigator 1 for the

Medicaid Fraud Control Unit (MFCU) within the Office of Special Prosecutions

!

This position is open to Alaska Residents only. Please check our

residency definition

to determine if you qualify.

What You Will Be Doing:

Conduct initial investigations of providers who are suspected or known to have committed Medicaid fraud, patient abuse or neglect or misappropriation of recipient assets.

Receive and document all incoming allegations, interview initial complainant(s), gather background information, prepare discovery, court exhibits, various types of evidence, maintain case information in a digital case management system, maintain the unit’s inventory, including monitoring of all investigative equipment, and organize case files and evidence for closing, archiving and/or disposition.

Work closely with the unit’s staff, its attorneys and with various federal and state investigators and agencies.

Mission and Values/Culture:

The Medicaid Fraud Control Unit (MFCU) is a federally mandated and funded investigative and prosecutorial unit consisting of attorneys, criminal investigators, a forensic accountant, and a paralegal. The mission of the unit is to investigate and prosecute fraud by healthcare providers, healthcare facilities, pharmaceutical manufacturers, pharmacies and other healthcare related providers that illegally divert Medicaid funds. The MFCU is also responsible for investigating and prosecuting abuse, neglect or financial exploitation of any patient in any licensed facility as well as abuse, neglect and financial exploitation of any Medicaid recipient.

Benefits of Joining Our Team:

• There is constantly a variety of activities happening each day within the office. You will be working with other MFCU investigators, the attorneys and staff on various case projects and operations. You will have a close-up view and participate in case progression from the complaint intake to its adjudication or resolution.
• As a member of the MFCU you will gain self-satisfaction knowing that you are part of a unit whose mission is to serve the public by enforcing and upholding healthcare related laws geared towards protecting Alaskans from Medicaid provider fraud, waste and abuse. As a MFCU investigator, your work directly protects vulnerable Alaskans and ensures Medicaid resources go to providers who deliver safe, ethical care.

The Working Environment You Can Expect:

The office environment is friendly and collaborative, handling a wide variety of interesting and unique cases. You will likely explore new avenues of investigation and have the opportunity to participate in a type of criminal prosecution that may have never been seen before in Alaska. The office is located downtown Anchorage at 310 K. Street, Suite 308.

Who We Are Looking For:

We are interested in candidates who possess some or all of the following position specific competencies:

• Criminal Investigation: Knowledge of the guidelines, regulations, and procedures associated with criminal investigation, including evidence detection and handling and drawing appropriate factual inferences and conclusions.
• Adaptability: adjusts planned work by gathering relevant information and applying critical thinking to address multiple demands and competing priorities in a changing environment.
• Criminal Law: Knowledge of state and Federal criminal laws, including procedures, regulations, guidelines, and precedents related to admissibility of evidence and prosecution.

To view the general description and example of duties for the position please go to the following link:

https://www.governmentjobs.com/careers/Alaska/classspecs

Minimum Qualifications

Competency Based Minimum Qualifications Instructions

This job class uses competency based minimum qualifications.

Please ensure your application

(through work history, volunteer experience (duties summary), training, education, licenses, certifications, etc.) supports how you have gained the knowledge, skills, abilities, and behaviors (competencies) and that you possess the minimum required competencies for the job class.

Competency Description

The competency description(s) listed below have been designed to promote a common understanding of the essential elements of the job class. They highlight the more general and customary knowledge, skills, abilities (KSAs), tasks, and behaviors used to describe the competency. They typically list expectations, as opposed to specific tasks, and are to be used only as parameters and guidelines. A competency’s description is not intended to exclusively define every KSA, task, and behavior needed to successfully meet the competency, but rather to provide the manager/agency with a broad reference of options as to how an applicant can meet the job expectation.

Please ensure your application (through work history, training, education, licenses, certifications, etc.) supports/demonstrates you possess the minimum required competencies for the job class.

Minimum Qualifications:

• Analytical Thinking/Problem Solving: uses a logical, systematic, sequential approach to address problems or opportunities or manage a situation by drawing on one’s knowledge and experience base and calling on other references and resources as necessary.
• Attention to Detail: Is thorough when performing work and conscientious about attending to detail.
• Integrity/Honesty: Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on an organization, self, and others; is trustworthy.
• Law: Knowledge of State and federal laws, including legal and court procedures, regulations, guidelines, precedents, admissibility of evidence, case preparation, and/or settlements for applicable areas of law practiced or supported
• Oral and Written Communication: Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral and written presentations; listens to others, attends to nonverbal cues, and responds appropriately.
• Equivalent to those typically gained by:
• Any combination of preparatory post-secondary education and/or experience in performing duties such as assisting in investigative work or legal research; preparing legal documents; conducting searches to locate individuals and/or assets; providing accurate interpretative information on laws and regulations; conducting administrative reviews of cases under appeal and issuing decisions; conducting interviews; locating and gathering information and data, evidence, and/or testimony to be used in civil or criminal proceedings, administrative actions, or governmentally regulated activities; conducting adjudications of claims; and/or drafting documents in support of attorneys or agencies engaged in administrative adjudication.

Definitions:

• “Competencies” means a combination of interrelated knowledge, skills, abilities, and behaviors that enable a person to act effectively in a job or situation.
• “Typically gained by” means the prevalent, usual method of gaining the competencies expected for entry into the job.
• “Training” and “education” in this guidance are synonyms for the process of acquiring knowledge and skills through instruction. It includes instruction through formal and informal methods (such as classroom, on-line, self-study, and on-the-job), from accredited and unaccredited sources, and long-duration (such as a post-secondary degree) and short-duration (such as a seminar) programs.

Special Note:

Some positions require applicants pa